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腹腔镜下阑尾切除手术以其创伤小、痛苦轻、恢复快、腹壁无瘢痕等优点,被越来越多的人们所接受。腹腔在小儿急性阑尾炎的治疗中也得到了较广泛的应用,2004年11月～2006年1月间,我院共施行腹腔镜辅助小儿阑尾切除术29例,取得较好的临床效果,现报告如下。资料与方法一、一般资料:本组29例中,男性15例,女性14例,年龄4岁～14岁,其中急性单纯性阑尾炎21例,急性化脓性阑尾炎6例,慢性阑尾炎急性发作2例。二、麻醉方式:28例气管插管全麻,1例静脉复合麻醉,术前注意排空膀胱。三、手术方法:患儿麻醉生效后,脐下缘皱褶部做一0.5cm 小口,穿刺气腹针充气,腹内压维持8～10mmHg,置入5
Laparoscopic appendectomy with its trauma, pain, fast recovery, abdominal scarless advantages, more and more people are accepted. Abdominal cavity in the treatment of children with acute appendicitis has also been more widely used, from November 2004 to January 2006, our hospital co-administered laparoscopic assisted pediatric appendectomy in 29 cases, achieved good clinical results, the report is now as follows. Materials and Methods First, the general information: The group of 29 patients, 15 males and 14 females, aged 4 to 14 years, of which 21 cases of acute simple appendicitis, acute suppurative appendicitis in 6 cases, 2 cases of acute exacerbation of chronic appendicitis . Second, anesthesia: 28 cases of general anesthesia intubation, 1 case of intravenous anesthesia, preoperative attention to emptying the bladder. Third, surgical methods: After the effect of anesthesia in children, umbilical margin of the Ministry of wrinkles to do a 0.5cm small mouth, puncture pneumoperitoneum inflated abdominal pressure to maintain 8 ~ 10mmHg, into 5